Cameron Jill I, Tsoi Chris, Marsella Amanda
Department of Occupational Science and Occupational Therapy, University of Toronto, 160-500 University Ave, Toronto, Ontario, M5G 1V7, Canada.
Stroke. 2008 Sep;39(9):2637-43. doi: 10.1161/STROKEAHA.107.501064. Epub 2008 Jul 17.
Stroke affects many aspects of the lives of stroke survivors and their family caregivers. Supporting long-term recovery and rehabilitation are necessary to help stroke survivors adapt to living with the effects of stroke and to help family members adapt to the caregiving role. During recovery and rehabilitation, many elements of the health care continuum are utilized, including emergency response, acute care, inpatient and outpatient rehabilitation, and community and long-term care. With the advent of thrombolytic therapy and the benefits of stroke units, stroke survival and outcomes are improving. As a result, the current emphasis of stroke system improvement is to implement stroke units throughout the developed world. To enhance the patient centeredness of stroke care delivery, an important next phase of stroke system improvement will center on the experiences of stroke survivors and their family caregivers as they move through diverse care environments. The objective of this article was to conduct a scoping review of the literature on stroke transitions to identify the current areas of research emphasis. This article highlights stroke survivors' and family caregivers' experiences with transitions across care environment and some potential strategies to improve those transitions.
中风会影响中风幸存者及其家庭护理人员生活的许多方面。支持长期恢复和康复对于帮助中风幸存者适应中风带来的影响以及帮助家庭成员适应护理角色是必要的。在恢复和康复过程中，会利用医疗保健连续体的许多要素，包括应急响应、急性护理、住院和门诊康复以及社区和长期护理。随着溶栓治疗的出现以及中风单元的益处，中风存活率和治疗效果正在改善。因此，当前中风系统改进的重点是在整个发达国家建立中风单元。为了提高中风护理服务的以患者为中心程度，中风系统改进的下一个重要阶段将围绕中风幸存者及其家庭护理人员在不同护理环境中的经历展开。本文的目的是对关于中风过渡的文献进行范围综述，以确定当前的研究重点领域。本文强调了中风幸存者和家庭护理人员在不同护理环境之间过渡的经历以及一些改善这些过渡的潜在策略。
